{ "model": { "rank": 13740, "code": "thing-q625164", "model_id": "vr.tr.retinal-detachment", "name": "retinal detachment", "purpose": "Let an agent route symptoms of retinal detachment to same-day eye emergency care first, explain types, risk factors and treatment in general terms from ophthalmology sources, describe the named forms and flag the related condition, and distinguish retinal detachment from posterior vitreous detachment, migraine aura, vitreomacular traction and macular degeneration, without diagnosing individuals.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q625164/", "tier": 2, "score": 37, "payload": { "layer": "wikidata", "aliases": [ "autosomal dominant rhegmatogenous retinal detachment", "Vitreomacular traction syndrome", "retinal perforation", "retinal detachment and defect", "Recent retinal detachment, total or subtotal", "partial recent retinal detachment with giant tear", "delimited old retinal detachment", "Partial recent retinal detachment with retinal dialysis", "total or subtotal old retinal detachment", "rhegmatogenous retinal detachment" ], "aliasCount": 10, "merged": 10, "knownIn": 37, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q625164", "url": "https://www.wikidata.org/wiki/Q625164", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T20:00:37Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q625164", "registryId": "vr.tr.retinal-detachment", "name": "retinal detachment", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q625164/", "model": { "registry_id": "vr.tr.retinal-detachment", "name": "retinal detachment", "purpose": "Let an agent route symptoms of retinal detachment to same-day eye emergency care first, explain types, risk factors and treatment in general terms from ophthalmology sources, describe the named forms and flag the related condition, and distinguish retinal detachment from posterior vitreous detachment, migraine aura, vitreomacular traction and macular degeneration, without diagnosing individuals.", "definition": "An eye emergency in which the retina separates from its underlying supportive tissue, most often rhegmatogenous detachment caused by a retinal tear or break, sometimes with a giant tear, and also tractional and exudative forms, with rare inherited forms such as autosomal dominant rhegmatogenous retinal detachment; warning signs include sudden new floaters, flashes of light and a shadow or curtain over part of the vision, and prompt same-day assessment by an eye emergency service is needed to prevent permanent vision loss. The registry alias vitreomacular traction syndrome is a related but distinct condition.", "what_it_is_for": "Not applicable; an eye emergency.", "affordances": [ "route symptoms to urgent eye care", "explain types and treatment in general terms", "describe named forms", "distinguish related conditions" ], "distinguishing_features": [ "Emergency", "Painless", "Sudden visual symptoms", "Surgical repair" ], "appearance": "Not visible to others; experienced as flashes, floaters and a dark curtain in vision.", "visual_identification": [ "Separation of the retina from underlying tissue", "Autosomal dominant rhegmatogenous RD, vitreomacular traction syndrome, retinal perforation, retinal detachment and defect, total or subtotal detachment, detachment with giant tear", "Posterior vitreous detachment may cause floaters without detachment; migraine aura is temporary; macular degeneration is gradual" ], "physical_properties": [ { "quantity": "main warning signs", "typical_range": "flashes, new floaters, shadow or curtain", "unit": "list", "note": "" }, { "quantity": "treatments", "typical_range": "laser, cryotherapy, pneumatic retinopexy, scleral buckle, vitrectomy", "unit": "list", "note": "" }, { "quantity": "main types", "typical_range": "rhegmatogenous, tractional, exudative", "unit": "list", "note": "" } ], "families_and_kinds": [ "rhegmatogenous retinal detachment", "tractional retinal detachment", "exudative retinal detachment", "giant retinal tear detachment", "inherited forms such as in Stickler syndrome" ], "related_models": [ { "relation": "is a kind of", "target": "retinal disease", "why": "in registry terms" }, { "relation": "is treated by", "target": "vitrectomy", "why": "among other surgery" }, { "relation": "is preceded by", "target": "retinal tear", "why": "often" }, { "relation": "is contrasted with", "target": "posterior vitreous detachment", "why": "" } ], "identifiers": [], "standards_and_regulation": [ "Ophthalmology guidelines such as those of the Royal College of Ophthalmologists and AAO" ], "failure_modes_and_hazards": [ "Delaying urgent eye assessment", "Diagnosing individuals remotely", "Registry alias for a distinct condition" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What retinal detachment is.", "rationale": "Emergency first.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "Are there sudden new floaters, flashes or a shadow or curtain over vision, in which case seek same-day emergency eye care now?", "kind": "boundary" }, { "text": "What is retinal detachment, and how does it differ from posterior vitreous detachment, migraine aura and macular degeneration?", "kind": "definition" } ] } ] }, { "id": "forms", "name": "Forms", "description": "Named forms.", "findings": [ { "id": "forms-finding", "name": "Forms", "description": "Forms.", "questions": [ { "text": "What are rhegmatogenous, giant tear, total or subtotal and inherited detachments, and what is vitreomacular traction?", "kind": "definition" }, { "text": "Which entry fits the specific form?", "kind": "action" } ] } ] } ] }, { "id": "medical", "name": "Medical", "description": "Causes and risk.", "rationale": "Attribution.", "layers": [ { "id": "risk", "name": "Risk", "description": "Risk factors.", "findings": [ { "id": "risk-finding", "name": "Risk", "description": "Risk.", "questions": [ { "text": "What risk factors do sources describe, such as high myopia, previous eye surgery and trauma?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "diagnosis", "name": "Diagnosis", "description": "Diagnosis.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "How is detachment diagnosed with dilated eye examination and ultrasound?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment.", "rationale": "Attribution.", "layers": [ { "id": "surgery", "name": "Surgery", "description": "Surgery.", "findings": [ { "id": "surgery-finding", "name": "Surgery", "description": "Surgery.", "questions": [ { "text": "How do laser, pneumatic retinopexy, scleral buckle and vitrectomy work, in general terms?", "kind": "provenance" }, { "text": "Which entry fits scleral buckle?", "kind": "action" } ] } ] }, { "id": "recovery", "name": "Recovery", "description": "Recovery.", "findings": [ { "id": "recovery-finding", "name": "Recovery", "description": "Recovery.", "questions": [ { "text": "What recovery instructions such as head positioning and flying restrictions after gas bubbles are commonly given?", "kind": "provenance" }, { "text": "Which entry fits pneumatic retinopexy?", "kind": "action" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Related conditions.", "rationale": "Context.", "layers": [ { "id": "pvd", "name": "PVD", "description": "Posterior vitreous detachment.", "findings": [ { "id": "pvd-finding", "name": "PVD", "description": "PVD.", "questions": [ { "text": "How does posterior vitreous detachment relate to retinal tears?", "kind": "provenance" }, { "text": "Which entry fits posterior vitreous detachment?", "kind": "action" } ] } ] }, { "id": "genetic", "name": "Genetic", "description": "Inherited forms.", "findings": [ { "id": "genetic-finding", "name": "Genetic", "description": "Genetic.", "questions": [ { "text": "Which inherited conditions such as Stickler syndrome increase risk?", "kind": "provenance" }, { "text": "Which entry fits Stickler syndrome?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should the ICD-style aliases be separate entries?", "How should ophthalmology guidelines be linked?", "The registry alias vitreomacular traction syndrome should be moved to its own entry" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a retinal detachment, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent route symptoms of retinal detachment to same-day eye emergency care first, explain types, risk factors and treatment in general terms from ophthalmology sources, describe the named forms and flag the related condition, and distinguish retinal detachment from posterior vitreous detachment, migraine aura, vitreomacular traction and macular degeneration, without diagnosing individuals.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: autosomal dominant rhegmatogenous retinal detachment, Vitreomacular traction syndrome, retinal perforation, retinal detachment and defect, Recent retinal detachment, total or subtotal, partial recent retinal detachment with giant tear, delimited old retinal detachment, Partial recent retinal detachment with retinal dialysis, total or subtotal old retinal detachment, rhegmatogenous retinal detachment.", "10 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 37 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a retinal detachment, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "autosomal dominant rhegmatogenous retinal detachment", "Vitreomacular traction syndrome", "retinal perforation", "retinal detachment and defect", "Recent retinal detachment, total or subtotal", "partial recent retinal detachment with giant tear", "delimited old retinal detachment", "Partial recent retinal detachment with retinal dialysis", "total or subtotal old retinal detachment", "rhegmatogenous retinal detachment" ] } ], "standing": "Described in 37 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 10 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one retinal detachment from another, and a retinal detachment from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a retinal detachment sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a retinal detachment from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a retinal detachment passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a retinal detachment between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a retinal detachment, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a retinal detachment is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What retinal detachment is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of retinal detachment are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is retinal detachment operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of retinal detachment and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of retinal detachment?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as retinal detachment?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a retinal detachment came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a retinal detachment and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a retinal detachment is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a retinal detachment, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a retinal detachment, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a retinal detachment is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }